| NPI | 1104194505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 115499) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 4417) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |