| NPI | 1417961269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 1143254) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 9626) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |