| NPI | 1114551017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0021116) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011030576) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |