| NPI | 1003100769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65247) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16936) |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |