| NPI | 1932507068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 47858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP039807L) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |