| NPI | 1073874111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0008790) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 51140) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |