| NPI | 1013379932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0005459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP454126) |
| 183500000X Pharmacist (Licence: CT PCT0011052) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-07-22 |