| NPI | 1215329289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 72393) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 5327) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2019-01-16 |