| NPI | 1477848018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120732) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 60228) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2015-01-19 |