| NPI | 1477967263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76607) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 58650) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-03-18 |