| NPI | 1942594205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 112936) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2001000222) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2011-06-04 |