| NPI | 1043297617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 118775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA p52144) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-05-11 |