| NPI | 1922374875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 55841) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7624688-1701) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2022-05-18 |