| NPI | 1114280005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011023750) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15321) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2012-06-17 |