| NPI | 1366082182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 56167) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52958) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |