NPI | 1003166331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18669) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208380) |
183500000X Pharmacist (Licence: GA RPH025035) | |
Enumeration Date | 2012-09-13 |
Last Update Date | 2024-04-24 |