| NPI | 1699017889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 437353) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18985) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |