| NPI | 1801545868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 33643) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: CO PHA.0023648) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2025-05-23 |