| NPI | 1699226555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 21701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 24212) |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2016-10-16 |