| NPI | 1366789257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74536) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS37901) |
| 183500000X Pharmacist (Licence: TX 6007) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2016-04-07 |