| NPI | 1366921736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67931) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-12-01 |