| NPI | 1750873022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 6469) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MN 125989) |
| 183500000X Pharmacist (Licence: CA 77730) | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2025-01-14 |