| NPI | 1376995662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025823) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 25604) |
| 183500000X Pharmacist (Licence: CO PHA.0019411) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-10-16 |