| NPI | 1538572045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68512) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54268) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |