| NPI | 1154677235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100001244) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211551) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2014-12-15 |