| NPI | 1609215920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 114744) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17211) |
| 183500000X Pharmacist (Licence: SD 4498) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |