| NPI | 1669704862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps29452) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 56906) |
| 183500000X Pharmacist (Licence: GA RPH025302) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |