| NPI | 1134610702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78237) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0022207) |
| 183500000X Pharmacist (Licence: NY 063524) | |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2020-10-29 |