NPI | 1508151093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 56446) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 61069) |
183500000X Pharmacist (Licence: FL PS41908) | |
Enumeration Date | 2011-06-13 |
Last Update Date | 2015-07-24 |