| NPI | 1053707687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2014026319) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 116544) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |