| NPI | 1255933511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH84902) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S024784) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-10-31 |