| NPI | 1568897601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050248) |
| 183500000X Pharmacist (Licence: TX 38960) | |
| 183500000X Pharmacist (Licence: VT 3490) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-10-08 |