| NPI | 1902158066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 14602) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15200) |
| 183500000X Pharmacist (Licence: KS 1-14998) | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2014-08-19 |