| NPI | 1538412473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND ND5474) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121055) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2013-06-18 |