| NPI | 1740521442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302039985) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331073) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |