| NPI | 1497136089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 45316) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 14340) |
| 183500000X Pharmacist (Licence: VA 0202012266) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |