| NPI | 1407088586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2005030404) |
| 183500000X Pharmacist (Licence: NY 052329-1) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2020-12-06 |