| NPI | 1306293121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH18952) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211373) |
| 183500000X Pharmacist (Licence: CA RPH39372) | |
| Enumeration Date | 2016-05-22 |
| Last Update Date | 2016-05-22 |