| NPI | 1366647174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 10560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 41049) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |