| NPI | 1558875765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: DC PHI100003068) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 25316) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-03-17 |