| NPI | 1912210626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 64844) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21027) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2011-05-05 |