| NPI | 1659778124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 79210) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202213210) |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2019-06-04 |