| NPI | 1679099857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 89340) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP457668) |
| 183500000X Pharmacist (Licence: MD 25193) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-10-14 |