| NPI | 1053785030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 48623) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 48623) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |