| NPI | 1487019386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 71956) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S021227) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |