| NPI | 1356940209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 11839366-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 81356) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2022-03-21 |