NPI | 1104031160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6444355-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03326826) |
Enumeration Date | 2007-05-13 |
Last Update Date | 2007-07-08 |