| NPI | 1982808317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13223) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 14018) |
| 183500000X Pharmacist (Licence: MO 45215) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |