| NPI | 1225313596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 55017) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17601) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2015-02-04 |