| NPI | 1972947323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 15238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 27171) |
| 183500000X Pharmacist (Licence: NE 05621) | |
| 183500000X Pharmacist (Licence: AZ 07282) | |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2013-04-28 |