NPI | 1194329417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: VT 3441) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23966) |
183500000X Pharmacist (Licence: NY 050274) | |
Enumeration Date | 2020-11-27 |
Last Update Date | 2020-11-27 |