| NPI | 1992922793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH 39502) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 4254) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |