| NPI | 1407164700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66010) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 23049) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2015-01-25 |