| NPI | 1013250562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202205312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000729) |
| 183500000X Pharmacist (Licence: MD 19104) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |