| NPI | 1104967165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 12687) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 52543) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2007-07-08 |