| NPI | 1649752239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78662) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 238236) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |