| NPI | 1720744121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 9300223-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0023252) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |