| NPI | 1508503624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78277) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20781) |
| 183500000X Pharmacist (Licence: DC PH100001015) | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |