| NPI | 1184052805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 45842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 043158-1) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |