| NPI | 1902171994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20465) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100001047) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |