| NPI | 1518491562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 47145) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 12340) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |