| NPI | 1154608602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15387) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011027357) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2014-03-04 |