| NPI | 1245754340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0021833) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 019316) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-08-21 |