| NPI | 1770775694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH59128) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 15301) |
| 183500000X Pharmacist (Licence: HI ph-1829) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2011-06-30 |