| NPI | 1114275559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03116148-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302026190) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |