NPI | 1356897052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 40427) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 40427) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2021-12-09 |