NPI | 1063405140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA pha442500) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 44661) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2008-01-22 |