| NPI | 1053463653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 51051) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA RPH46977) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2022-06-20 |