| NPI | 1255886172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0023084) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041408) |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2020-08-25 |