| NPI | 1871633958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 4629) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 54554) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-05-07 |