| NPI | 1205408689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 84251) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA 84251) |
| 333600000X Pharmacy (Licence: FL 60126) | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |