| NPI | 1780962787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67411) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13667) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2013-07-18 |