| NPI | 1205437571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 16773) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 51826) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |