| NPI | 1356699078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132126-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041370) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2022-07-27 |