| NPI | 1598210965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66338) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 56691) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-08-17 |