| NPI | 1912383399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334454-3) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302043477) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-02-26 |