| NPI | 1245877331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 81142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20372) |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2020-05-13 |