| NPI | 1114264819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps49845) |
| 183500000X Pharmacist (Licence: TX 52228) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2019-08-31 |