| NPI | 1740510395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100000689) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19358) |
| 183500000X Pharmacist (Licence: VA 0202209864) | |
| 183500000X Pharmacist (Licence: TX 66550) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2022-06-28 |