| NPI | 1841588027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18969) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-27642) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |