| NPI | 1619593100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 83916) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337712) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2025-11-15 |