| NPI | 1104033547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 118533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5461) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-04-23 |