| NPI | 1669752978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15054) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2012-07-26 |