| NPI | 1932197522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 40087) |
| Enumeration Date | 2005-10-09 |
| Last Update Date | 2011-11-15 |