| NPI | 1174205520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835E0208X Pharmacist, Emergency Medicine (Licence: IA 25318) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 88118) |
| 1835E0208X Pharmacist, Emergency Medicine (Licence: NM RP00010147) | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-07-26 |