| NPI | 1578566105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 11170) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 42318) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-08-21 |