| NPI | 1720620826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 46354) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 11633) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2022-01-03 |