| NPI | 1093144016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13438) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2004020355) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |