| NPI | 1952844532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75527) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2014039954) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2022-07-21 |