| NPI | 1093801409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100000255) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202204240) |
| 183500000X Pharmacist (Licence: MI 5302030356) | |
| 183500000X Pharmacist (Licence: MD 15982) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-03-12 |