| NPI | 1952724015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03132563) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302039137) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |