| NPI | 1699960872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18884) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 15176) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2009-08-18 |