| NPI | 1659778884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0004619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23223) |
| 183500000X Pharmacist (Licence: VA 0202214409) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-09-14 |