| NPI | 1477890077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 49179) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13142) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |