| NPI | 1750456372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12743-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 0114316-0) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 29362) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |