| NPI | 1205376001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74477) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19248) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |