| NPI | 1871919183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15419) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011027147) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2017-10-30 |