| NPI | 1568731008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-12769) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 35822) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |