NPI | 1245368067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 42792) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP040943L) |
183500000X Pharmacist (Licence: PA RPI000259) | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2022-07-11 |