| NPI | 1669784948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 114846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17069) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |