NPI | 1124346408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5256) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119787) |
183500000X Pharmacist (Licence: IA 20562) | |
Enumeration Date | 2010-05-11 |
Last Update Date | 2010-05-11 |