| NPI | 1851624597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 13232) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2003001223) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |