| NPI | 1568804573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120947) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh5512) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |