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 |