| NPI | 1669740700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15295) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011023420) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |