| NPI | 1831578954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233698) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302042627) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2020-06-17 |