| NPI | 1265737035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4118) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 114351) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |