| NPI | 1700172533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67420) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053398) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-05-16 |