| NPI | 1700098209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65450) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050697) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2026-04-24 |