| NPI | 1851774855 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 121882)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh5707)  | 
| Enumeration Date | 2015-07-08 | 
| Last Update Date | 2015-07-08 |