| NPI | 1033584370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302039072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03321729) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |