| NPI | 1053752667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 70708) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-02-04 |