| NPI | 1770957631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI 3246) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 67763) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2018-01-18 |