| NPI | 1134407935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 72446) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120482) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2015-12-29 |