| NPI | 1730411075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18528) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 80608) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2020-11-17 |