NPI | 1053633172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60114432) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20 052756) |
Enumeration Date | 2010-02-16 |
Last Update Date | 2010-02-16 |