| NPI | 1063841708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh5609) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121307) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2014-07-09 |