| NPI | 1972788529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 61054) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26538) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2021-12-27 |