| NPI | 1508151465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 55565) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S013766) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |