| NPI | 1083989222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 10210) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 040301) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |