| NPI | 1578919866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0021982) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-07-13 |