| NPI | 1851706519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 69997) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 116107) |
| 183500000X Pharmacist (Licence: MO 2013038392) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |