| NPI | 1205480837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-11277) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 042529) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-11-27 |