| NPI | 1780099432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041989) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03232725) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |