| NPI | 1154698272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 044271) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 11298) |
| 183500000X Pharmacist (Licence: KS 1-11674) | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2017-05-09 |