| NPI | 1972904316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202212404) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03132073) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |