| NPI | 1942876834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125179) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0023171) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-01-16 |