| NPI | 1912289026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2010040072) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |