| NPI | 1376913707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 7343358-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 72683) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |