| NPI | 1174922116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 48566) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S010127) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |