| NPI | 1639522972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 72776) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR 0014359) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2021-11-22 |