| NPI | 1528337474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 66735) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20207) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |