| NPI | 1578043584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 64509) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52765) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2021-01-05 |