| NPI | 1275842312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119691) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 5450) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2014-09-23 |