| NPI | 1982991600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13956) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2006033358) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-12-11 |