| NPI | 1205258498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 41986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI 1084) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2021-12-09 |