| NPI | 1760768667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14167) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2009004996) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |