| NPI | 1205427630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 81522) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19951) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |