| NPI | 1710414842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122981) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 21357) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |