| NPI | 1366893950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041947) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 031174051) |
| 183500000X Pharmacist (Licence: KY 012092) | |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-06-25 |