| NPI | 1770842791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 44426) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 10992) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |