NPI | 1457363400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60266311) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO 13141) |
183500000X Pharmacist (Licence: NM 4620) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2013-11-13 |