| NPI | 1619567989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 55014) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0015112) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |