| NPI | 1033442389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 59538) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041408) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2012-10-31 |