| NPI | 1386030765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50989) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 14944) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-04-12 |