| NPI | 1902970361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-12109) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302027754) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |