| NPI | 1891129714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009021438) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15053) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |