| NPI | 1265752307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 14502) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |