NPI | 1124578430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36837) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 11551) |
183500000X Pharmacist (Licence: OH 03-3-22631) | |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |