| NPI | 1851643688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 59433) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 25589) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |