| NPI | 1477943223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 0020679) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058853) |
| 183500000X Pharmacist (Licence: TN 33624) | |
| 183500000X Pharmacist (Licence: CO 0020679) | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-10-05 |