| NPI | 1871030999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-100193) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2016032851) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |