| NPI | 1588929780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67228) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 51524) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2014-11-12 |