| NPI | 1114210549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 10296) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 26669) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |