| NPI | 1255620530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a10003987) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp443086) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |