| NPI | 1134722515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0022900)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124575)  | 
| Enumeration Date | 2020-11-18 | 
| Last Update Date | 2020-11-19 |