| NPI | 1962278390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0019831) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 85212) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |