| NPI | 1104438167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68528) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 57813) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-10-31 |