| NPI | 1053860965 |
|---|---|
| Former Name | ALICE NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH 45422) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 10806) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |