| NPI | 1003170721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041186) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03131833-1) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |