| NPI | 1316789480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH236793) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 75767) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |