| NPI | 1881461671 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 68792)  | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: 68792)  | 
| Enumeration Date | 2023-12-11 | 
| Last Update Date | 2023-12-11 |