| NPI | 1972067593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 21986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 78097) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |