| NPI | 1568747665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 114137) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14340-40) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |