NPI | 1417227190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 041913) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-11440) |
183500000X Pharmacist (Licence: KY 013201) | |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |