| NPI | 1255056537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH86761) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP455752) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |