| NPI | 1407123169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119924) |
| 183500000X Pharmacist (Licence: CA 60513) | |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |