| NPI | 1962930081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0005057) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15235) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |