| NPI | 1962792325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03310732) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP027830L) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |