| NPI | 1407229958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122145) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22268) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |