| NPI | 1083977714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50004) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 12695) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |