| NPI | 1285100362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 79149) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041417) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |