| NPI | 1073808622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65456) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps42457) |
| 146N00000X Emergency Medical Technician, Basic (Licence: FL 300827) | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2011-06-12 |