| NPI | 1053642355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 59659) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 5844) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |