| NPI | 1578859682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15697) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12995) |
| 183500000X Pharmacist (Licence: AZ S016202) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-08-13 |