| NPI | 1912274515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120527) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18142) |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2011-11-27 |