| NPI | 1073922571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO pha.0020098) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012027075) |
| 183500000X Pharmacist (Licence: CO 20098) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2019-01-18 |