| NPI | 1790047504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 70519) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 19184) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2019-07-16 |