| NPI | 1326335258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202205370) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 16008) |
| 183500000X Pharmacist (Licence: DC PH100000792) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |