| NPI | 1912643727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 86104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 068599) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |