| NPI | 1770976953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 35075) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2153) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |