| NPI | 1457633521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0003018) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP-044788-L) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |