| NPI | 1558647784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03227875) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302038448) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |