| NPI | 1780915231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03228385) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302024855) |
| 183500000X Pharmacist (Licence: CA RPH38458) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |