| NPI | 1093051724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 49332) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 12962) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |