| NPI | 1295088516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 121120) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 019903) |
| 183500000X Pharmacist (Licence: TX 52291) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-11-28 |