| NPI | 1891197414 |
|---|---|
| Former Name | STEFANIE LAUREN DRAHUSCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24436) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449165) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2015-09-21 |