| NPI | 1114209632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS k14427) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2008029233) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |