| NPI | 1104035757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 56734) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23568) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-03-17 |