| NPI | 1912912882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-15222) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 9335) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-08 |