| NPI | 1558502823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 09485) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PHA24555) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |