NPI | 1083236285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: LA 022738) |
Additional Taxonomies | 183500000X Pharmacist (Licence: LA 022738) |
183500000X Pharmacist (Licence: TX 66467) | |
Enumeration Date | 2020-05-11 |
Last Update Date | 2020-05-11 |