| NPI | 1689975070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18673) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 61129) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2013-12-12 |