| NPI | 1285295162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78998) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 20365) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-06-22 |