| NPI | 1043318470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120790) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 4770) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-10-12 |