| NPI | 1952841751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74679) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121329) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |