| NPI | 1528360757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 12454) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000169) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |