| NPI | 1790051811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 16383-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120678) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |