| NPI | 1104224724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 44221) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps24917) |
| 183500000X Pharmacist (Licence: NY 039707) | |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2014-12-13 |