| NPI | 1417549973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75505) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 12239) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |