NPI | 1356758452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058657) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 73062) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2017-04-19 |