| NPI | 1386980225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA ph233310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 64496) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |