| NPI | 1073834842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH33038) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps18240) |
| 183500000X Pharmacist (Licence: OH 03112181) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |