| NPI | 1407364581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11372) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117946) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |