| NPI | 1568756153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps37368) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |