| NPI | 1174991483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0015399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 73042) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2024-10-09 |