| NPI | 1528401114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4794) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119083) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2015-06-02 |