| NPI | 1083787188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13544-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 116375-5) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |