| NPI | 1790404218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 86020) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P9709) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |