| NPI | 1104497411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 87931) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61170886) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2024-01-26 |