| NPI | 1750633277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 032333437) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041376) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2015-09-21 |