| NPI | 1386934693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302035404) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03230751-2) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-13 |