| NPI | 1053976977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65368) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 12300) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2025-11-05 |