| NPI | 1609241348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 73969) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 12731) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |