| NPI | 1386926178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65366) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PHY2997) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |