| NPI | 1073906822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 16456) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15850) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |