| NPI | 1316202732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 111618) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10557-40) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |