NPI | 1174812671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 33542) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15526) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2011-07-14 |