| NPI | 1760768535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03230415) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302039429) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |