| NPI | 1013436724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 066473) |
| 183500000X Pharmacist (Licence: MA 236791) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2025-11-19 |