| NPI | 1912140898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03112413) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302030498) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |