| NPI | 1952728230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3644) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0021832) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-10-08 |