| NPI | 1619577897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 88285) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0095854) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2024-02-29 |