| NPI | 1659658441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0021977) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 116056) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-05-12 |