| NPI | 1417232091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0003572) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp440214) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |