| NPI | 1639588692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0022701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13520) |
| 183500000X Pharmacist (Licence: TX 58724) | |
| 183500000X Pharmacist (Licence: GA RPH026266) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-03-08 |