| NPI | 1801377254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.00176) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 39222) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |