| NPI | 1770031940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75931) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19399) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-12-17 |