| NPI | 1154440717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 114252-7) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-10-18 |