| NPI | 1316264591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302036762) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00059573) |
| 183500000X Pharmacist (Licence: OH 03327010) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |