| NPI | 1013550607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74405) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20152) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-06-23 |