| NPI | 1558653667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209964) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000830) |
| 183500000X Pharmacist (Licence: MD 19774) | |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2011-05-07 |