| NPI | 1659749430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 8622) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 46449) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |