| NPI | 1386178325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 72490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230283) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |