| NPI | 1538411418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 58633) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13184) |
| 183500000X Pharmacist (Licence: GA 26330) | |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |