| NPI | 1730554130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 41827) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NV 09742) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |