| NPI | 1063861094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH74517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 57752) |
| 183500000X Pharmacist (Licence: AZ S024555) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-04-23 |