| NPI | 1255653507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-11576) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO PH042309) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |