| NPI | 1780937888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO PHA.00022196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2006038102) |
| 183500000X Pharmacist (Licence: KS 1-13959) | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2018-12-21 |