| NPI | 1770939167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66840) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 116862) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |