| NPI | 1942578083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 48751) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13471) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |