| NPI | 1982066445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 48531) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 12602) |
| 183500000X Pharmacist (Licence: MD 20054) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |