NPI | 1053894519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH60958837) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0005251) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2019-07-11 |