| NPI | 1700863792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 113200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2002022644) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-12-11 |