| NPI | 1285172767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 17887) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: DC PH10000078) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |