| NPI | 1124361183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302022866) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |