| NPI | 1972243962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 85587) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 11329291) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2024-05-16 |