NPI | 1417393901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 13342) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 8007) |
183500000X Pharmacist (Licence: CA 38502) | |
183500000X Pharmacist (Licence: PA RP040459R) | |
Enumeration Date | 2013-05-11 |
Last Update Date | 2013-05-11 |