| NPI | 1255615647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19505) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003724) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |