| NPI | 1720552698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78488) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 0519047) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |