| NPI | 1265719397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5376) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120483) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2012-01-14 |