| NPI | 1053749283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 118585) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh5095) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |