| NPI | 1083971329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 114745) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 4285) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |