| NPI | 1992174742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 74112) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061135) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2021-11-22 |