| NPI | 1043878515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17409) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003676) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |