| NPI | 1033428156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0203013096) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 68677) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2014-03-20 |