| NPI | 1770824054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18417) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2014-01-23 |