| NPI | 1518627041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 87124) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124858) |
| Enumeration Date | 2021-12-24 |
| Last Update Date | 2022-12-14 |