| NPI | 1578806154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH1000001190) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20812) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |