| NPI | 1790084754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 16726) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03120484) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |