| NPI | 1063854438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 71968) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 057289) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-07-21 |