| NPI | 1225683352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 79925) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19647) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-12-02 |