| NPI | 1083985162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16703) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209500) |
| 183500000X Pharmacist (Licence: PA RP438606) | |
| 183500000X Pharmacist (Licence: DC ph100001058) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |