| NPI | 1710350293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 50956) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 72618) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2020-12-01 |