| NPI | 1760772057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CO 18788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 18788) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2024-02-27 |