| NPI | 1679905426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03232677) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2021-11-17 |