| NPI | 1093464489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 42741) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 10201) |
| 183500000X Pharmacist (Licence: LA 023260) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |