| NPI | 1669233052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP460145) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 89070) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2026-05-29 |