| NPI | 1497973309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50596) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 14682) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |