| NPI | 1508151168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011001989) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2011-06-12 |