| NPI | 1407260920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68603) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH26303) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |