NPI | 1114292240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MT PHA-PHA-LIC-15127) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00058181) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2018-11-28 |