NPI | 1376654111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP032322L) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO 12721) |
183500000X Pharmacist (Licence: TX 30636) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |