| NPI | 1740555960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 116066) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 13338-40) |
| 183500000X Pharmacist (Licence: IA 20307) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2015-10-30 |