| NPI | 1497165575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23856) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 70617) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-01-06 |