NPI | 1063944726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: ID P6493) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH00039410) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2017-03-31 |