| NPI | 1326225327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12596-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115469-6) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2017-02-17 |