| NPI | 1205212206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75886) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH028637) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-02-02 |