| NPI | 1194105544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 71826) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2014022492) |
| 183500000X Pharmacist (Licence: NJ 28RI03609800) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |