| NPI | 1013373612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202214553) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH10001882) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |