| NPI | 1275803454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0003123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18214) |
| 183500000X Pharmacist (Licence: PA Rp440861) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2014-07-11 |