| NPI | 1366875353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302040464) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS48646) |
| 183500000X Pharmacist (Licence: OH RPH03331553-3) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |