| NPI | 1407101587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5151) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 118929) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |