| NPI | 1093221202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-111789) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH77843) |
| 183500000X Pharmacist (Licence: OK 16292) | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2020-07-06 |