| NPI | 1164861621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5507) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120521) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |