| NPI | 1255009387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 86014) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 097557) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2022-06-28 |