| NPI | 1164991345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH79629) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH238198) |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2018-11-17 |