| NPI | 1205136116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302040805) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH63868) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2023-03-06 |