| NPI | 1457851651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 57719) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA 57719) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |