| NPI | 1699042218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0010411) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 29766) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |