NPI | 1104360361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA 61131364) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18516-40) |
183500000X Pharmacist (Licence: CA 80870) | |
Enumeration Date | 2016-12-07 |
Last Update Date | 2021-03-29 |