| NPI | 1770832651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12830) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 60304) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |