| NPI | 1356852859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03237194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302045780) |
| 183500000X Pharmacist (Licence: MN 123296) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |