| NPI | 1780781468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 3 04 004898) |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA (Licence: CA 49822) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2009-05-04 |