| NPI | 1619223179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0004236) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp445367) |
| 183500000X Pharmacist (Licence: NJ 3140800) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |