| NPI | 1568236339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0024120) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-07-17 |