| NPI | 1124888789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 14134) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 5005) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2026-04-27 |