| NPI | 1215160056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119583) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20813) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2010-03-10 |