| NPI | 1396154357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 71501) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 26583) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2015-11-03 |