| NPI | 1770960379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 51565) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 00020391) |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2015-05-03 |