| NPI | 1164782033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 55013) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16032) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |