| NPI | 1417397985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 5776) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 27630) |
| 183500000X Pharmacist (Licence: AZ S05273) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |