| NPI | 1174072821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 45517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 11108) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2019-09-04 |