| NPI | 1174097075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CO 19213) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 19213) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |