| NPI | 1699037549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50820) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13769) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |