| NPI | 1558815746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0021367) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3926) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2020-10-05 |