| NPI | 1679830434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19360) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI 3624) |
| 183500000X Pharmacist (Licence: CA 66830) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2023-04-29 |