| NPI | 1770877920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 10146-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115917) |
| 183500000X Pharmacist (Licence: MI 24544) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |