| NPI | 1518309400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15876) |
| 183500000X Pharmacist (Licence: MN 116949) | |
| 183500000X Pharmacist (Licence: KS 1-12921) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |