| NPI | 1619257193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 12884) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2001165326) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |