| NPI | 1972815884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 114142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH39594) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |