| NPI | 1982082251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO PHA.0020742) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 20508) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |