| NPI | 1811368566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 20629) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 66955) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |