| NPI | 1972166627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP450658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 76374) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2022-08-10 |