NPI | 1205473030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53215) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 24281111028) |
183500000X Pharmacist (Licence: AK 230083) | |
1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 3159977) | |
Enumeration Date | 2019-11-27 |
Last Update Date | 2025-08-07 |