| NPI | 1790160208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0020457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3750) |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2015-07-26 |