NPI | 1114200458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54176) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OK 13876) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2020-12-04 |