| NPI | 1477987881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 61345) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: CA 2808) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |