| NPI | 1023551470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS61105) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 75843) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2020-12-16 |