| NPI | 1356720916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209925) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000870) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |