| NPI | 1962937896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 049547) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13888) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |