| NPI | 1538441464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0023461) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056015) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2021-03-11 |