| NPI | 1679944417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 47394) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 11971) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |