| NPI | 1801170501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009018187) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14906) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |