| NPI | 1952730947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 57160) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH2053) |
| 183500000X Pharmacist (Licence: CO PHA15898) | |
| 183500000X Pharmacist (Licence: NV 18180) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2014-03-31 |