| NPI | 1861820268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 69795) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 11089) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2014-06-11 |