| NPI | 1568872646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15831) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55564) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-05-18 |