| NPI | 1912297540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 59480) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17042) |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2011-04-16 |