| NPI | 1205325537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14876) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21219) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |