| NPI | 1265813117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0015751) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 71487) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-12-28 |