| NPI | 1255651410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 37283) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 11478) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |