| NPI | 1306392931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68731) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16064-040) |
| 183500000X Pharmacist (Licence: VA 0202211860) | |
| 183500000X Pharmacist (Licence: TX 52649) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |