| NPI | 1972992949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 72202) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2020-12-23 |