| NPI | 1457720633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100002173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23420) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-12-03 |