| NPI | 1508142126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 5983) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 058359) |
| 183500000X Pharmacist (Licence: CA RPH37279) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |