| NPI | 1831474352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-27403) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302036808) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2011-10-16 |