| NPI | 1538464904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117786) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5291) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |