| NPI | 1255878757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8041664-1701) |
| 183500000X Pharmacist (Licence: MO 2011024500) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |