NPI | 1174072821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 45517) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 11108) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2019-09-04 |