| NPI | 1003417122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202218190) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 26878) |
| 183500000X Pharmacist (Licence: DC PH100003854) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |