| NPI | 1609284520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-16600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2014025407) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2021-04-08 |