| NPI | 1952677049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 40247) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 09256) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |