| NPI | 1063816221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 71794) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35639) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |