| NPI | 1750650727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202210900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445916) |
| 183500000X Pharmacist (Licence: DC PH100001061) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |