| NPI | 1518047125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 53193) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH53193) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-05-16 |