| NPI | 1760073142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 83043) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 29003) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |