| NPI | 1700299914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 37991) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 08685) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |