| NPI | 1124580386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 79493) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60929781) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-10-06 |