| NPI | 1619201787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 40190) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 9309) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-02-04 |