| NPI | 1306263249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4155) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 114616) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |