| NPI | 1023318839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 604053) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0011000) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |