| NPI | 1164596987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 39178) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6945) |
| 183500000X Pharmacist (Licence: UT 151572-1701) | |
| 183500000X Pharmacist (Licence: NV 8756) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |