| NPI | 1407464662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0023182) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 4238) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2021-09-23 |