| NPI | 1356591184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 11011) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 55594) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |