| NPI | 1114378932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74450) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0013447) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-08-06 |