| NPI | 1366860579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: CO PHA.0020714) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 2004503) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-10-25 |