| NPI | 1285948604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 2030) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 808554) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2011-11-02 |