| NPI | 1982036059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 71563) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22438) |
| 183500000X Pharmacist (Licence: PA RP448055) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2015-03-26 |