| NPI | 1588738629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115204-1) |
| 183500000X Pharmacist (Licence: SD R4969) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |