| NPI | 1417227190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 041913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-11440) |
| 183500000X Pharmacist (Licence: KY 013201) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |