| NPI | 1659866507 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78472)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH030192)  | 
| Enumeration Date | 2018-06-23 | 
| Last Update Date | 2021-10-27 |