| NPI | 1013223841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT pct.0010533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 62743) |
| 183500000X Pharmacist (Licence: CO 17721) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |