NPI | 1104378108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008590) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61281431) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: NM 3163954) | |
Enumeration Date | 2016-10-26 |
Last Update Date | 2024-05-24 |