| NPI | 1316346521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03233930) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302040132) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2019-10-31 |