| NPI | 1770693780 |
|---|---|
| Former Name | ROBERTA JEAN LENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS0039742) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-26145) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-07-15 |