| NPI | 1003048521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 41879) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 9791) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |