| NPI | 1710244223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 39968) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 30319) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |