| NPI | 1952710899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302039508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302039508) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2023-11-21 |