| NPI | 1609956622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 7301) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH38505) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |