| NPI | 1811453442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID 1171647) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0016954) |
| 183500000X Pharmacist (Licence: CO PHA.0023481) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2025-01-07 |