| NPI | 1174054886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 45125) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 16114) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |