| NPI | 1194093088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100000662) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH64136) |
| 183500000X Pharmacist (Licence: MD 19622) | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |