| NPI | 1164883153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66586) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210220) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |