| NPI | 1356599625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-19295) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302023498) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |