| NPI | 1710386495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 14087) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PHA3089) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |