| NPI | 1124346408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5256) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119787) |
| 183500000X Pharmacist (Licence: IA 20562) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |