| NPI | 1124463567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 46107) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 11186) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |