| NPI | 1093088767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66784) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 46588) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |