| NPI | 1366737199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66066) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208393) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2012-04-13 |