| NPI | 1861370520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0207X Pharmacist, Compounded Sterile Preparations (Licence: CA 91065) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 91065) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |