| NPI | 1548668114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 121923) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 17726-40) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |