| NPI | 1093475337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 86054) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 125330) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-08-15 |