| NPI | 1609055052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 59807) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: HI PH3961) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2016-10-05 |