NPI | 1164775367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH233927) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NH R3124) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2022-09-19 |