| NPI | 1245637024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100001770) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2014-11-22 |