| NPI | 1548537947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119903) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 12485) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |