| NPI | 1083024442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 70385) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234983) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |