| NPI | 1285911743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 1075271) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011027345) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2012-01-15 |