| NPI | 1164806519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 72529) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22621) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 22621) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 72529) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-01-26 |