| NPI | 1083072011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 72395) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302038819) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2020-11-10 |