| NPI | 1861924698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 57628) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16756) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |