| NPI | 1083376867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: KS 1-14145) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14145) |
| 183500000X Pharmacist (Licence: MO 2006028518) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: MO 2006028518) | |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2021-10-09 |