| NPI | 1104577212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 85464) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH85464) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-12 |