| NPI | 1942634449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 69285) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 064030) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2020-04-20 |