| NPI | 1215474234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063014) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 65951) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2022-03-01 |