| NPI | 1790170694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-16524) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2014025394) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |