| NPI | 1811397086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68462) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI 3345) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2015-04-01 |