| NPI | 1558805820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA0021579) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0021579) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2020-10-10 |