| NPI | 1770037137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S022051) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2018-04-19 |