| NPI | 1962774364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12661) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 114271) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |