| NPI | 1982043659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 116232) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 13975040) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |