| NPI | 1306140504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 70629) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054959) |
| Enumeration Date | 2011-01-02 |
| Last Update Date | 2019-01-29 |