| NPI | 1164030573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 85314) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8902) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-10-16 |