| NPI | 1962665968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 16390) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 58128) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |