| NPI | 1689976060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19660) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC ph1000000814) |
| 183500000X Pharmacist (Licence: VA 0202209916) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2013-12-12 |