| NPI | 1881972420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5382) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120590) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2019-09-19 |