| NPI | 1952774325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 54941) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA PHY53866) |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2015-11-17 |