| NPI | 1609127349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012029736) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 71746) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2016-03-01 |