NPI | 1063551927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: DE PENDING) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CT 8056) |
183500000X Pharmacist (Licence: PA RP039890L) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |