| NPI | 1265779011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 52214) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 39236) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |