| NPI | 1558796623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 69644) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18578) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |