| NPI | 1922654144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78959) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 78959) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2021-04-22 |