| NPI | 1245665173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 57508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 26511) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |