| NPI | 1598947517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0202208216) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC PH100000332) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP439543) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2024-08-26 |