| NPI | 1316289713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 13026) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 11275) |
| 183500000X Pharmacist (Licence: AZ 15657) | |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2013-03-23 |