| NPI | 1578101440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 81234) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 26866) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |