| NPI | 1891104162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 74626) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2019-04-04 |