| NPI | 1538524038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 57180) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0024010) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2022-11-16 |