| NPI | 1144650896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302027469) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230816) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2024-02-28 |