| NPI | 1609112531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 11759) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 45789) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |