| NPI | 1568942563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 25773) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0005265) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2019-01-26 |