| NPI | 1982766168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY36871) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA rph40035) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-11-13 |