| NPI | 1053453597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH 30912) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 07046) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-12-17 |