| NPI | 1962529396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13692) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12279) |
| 183500000X Pharmacist (Licence: MO 2004035725) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |