| NPI | 1487977542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 55318) |
| 183500000X Pharmacist (Licence: MN 118024) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2016-11-23 |