| NPI | 1164768040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447348) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0004355) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |