| NPI | 1285901702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22028) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-19543) |
| 183500000X Pharmacist (Licence: DC PH100000420) | |
| 183500000X Pharmacist (Licence: FL PS37944) | |
| 183500000X Pharmacist (Licence: VA 0202209808) | |
| 183500000X Pharmacist (Licence: WV RP0005577) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |