| NPI | 1003361056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: CO PHA.0020479) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: OR RPH-0014406) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |