| NPI | 1639584691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 41624) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1/13749) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |