| NPI | 1992122543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03230292) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S020162) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-21 |