| NPI | 1760899736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50105) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S011639) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |