| NPI | 1316266158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 51306) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 14610) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |