| NPI | 1992935860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66364) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S017295) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2015-05-18 |