| NPI | 1972805646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014392) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 58902) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |