| NPI | 1275885410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 51925) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS31800) |
| 183500000X Pharmacist (Licence: NJ 23501) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |