| NPI | 1972838613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PHA2761) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209217) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |