| NPI | 1396121356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-12886) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: KS 1-12886) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: KS 1-12886) | |
| 1835P1300X Pharmacist Psychiatric (Licence: KS 1-12886) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |