| NPI | 1669754305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03228072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034969) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2023-03-07 |