| NPI | 1568913770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH87795) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA RPH028067) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-09-30 |