| NPI | 1265953210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 22426) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22426) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC PH100002709) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-01-18 |