| NPI | 1851603831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 63893) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S017632) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-04-04 |