| NPI | 1629321013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15220) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012025425) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-24 |