| NPI | 1639556210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 72285) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 72285) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2022-07-11 |