| NPI | 1114364841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH30131) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 06724) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |