| NPI | 1700264355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14195) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0017618) |
| 183500000X Pharmacist (Licence: MO 2011011745) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |