| NPI | 1104462902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0022835) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 4165) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |