| NPI | 1407243397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 11845) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 044636) |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2015-04-19 |