| NPI | 1114322211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78373) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059893) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2019-11-13 |