| NPI | 1609282995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0004551) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21823) |
| 183500000X Pharmacist (Licence: PA RP448606) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |