| NPI | 1669983474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-103019) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017026901) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |