| NPI | 1487052015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66820) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3449) |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2014-12-14 |