| NPI | 1770795684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 46455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302040391) |
| 183500000X Pharmacist (Licence: MD 13484) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-01-21 |