| NPI | 1508079021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 40749) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA 848) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 5204) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-01-25 |