| NPI | 1679943351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 48631) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 26447) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |