| NPI | 1083071062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 80560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059861) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2023-06-06 |