| NPI | 1154741650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH54478) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH020978) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |