| NPI | 1689222051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH80502) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 19141130557) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-01-30 |