| NPI | 1487013819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 17157-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122053) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |