NPI | 1366764961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12049) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 14686) |
183500000X Pharmacist (Licence: NJ 28RI02465100) | |
Enumeration Date | 2010-02-23 |
Last Update Date | 2015-12-23 |