| NPI | 1528619863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03338001) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302411969) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |