| NPI | 1063799989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202206698) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000215) |
| 183500000X Pharmacist (Licence: MD 16807) | |
| 183500000X Pharmacist (Licence: PA RP037862L) | |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2011-11-06 |