| NPI | 1073808440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117542) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14096040) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-12-30 |