| NPI | 1982955605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0006345) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117969) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2020-10-22 |