| NPI | 1215213046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000954) |
| 183500000X Pharmacist (Licence: VA 0202209998) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2016-06-27 |