| NPI | 1972111862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 81786) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20264) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |