| NPI | 1700104742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 69490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 27660) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2025-08-04 |