NPI | 1124469655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL 40147) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MS 12567) |
183500000X Pharmacist (Licence: AZ S019357) | |
183500000X Pharmacist (Licence: KY 016262) | |
183500000X Pharmacist (Licence: OR 0013328) | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2013-07-12 |