| NPI | 1730458134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21568) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO pha0019557) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2026-04-28 |