| NPI | 1811999345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-20831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.150303) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2011-07-13 |