| NPI | 1346519485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 114999) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2010027159) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |