| NPI | 1558770065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0020960) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54932) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: CO PHA.0020960) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2022-04-04 |