| NPI | 1821184516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 54192) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0014651) |
| 183500000X Pharmacist (Licence: NV 16391) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-10-22 |