| NPI | 1477995595 |
|---|---|
| Former Name | JILLIAN MARIE KOCZELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CO PHA.0019888) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO PHA.0019888) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-03-01 |