| NPI | 1760752687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S018935) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03228486-2) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |