| NPI | 1184751612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 59556) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26762) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-06-21 |