NPI | 1558897769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 22833) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331411-3) |
Enumeration Date | 2017-05-08 |
Last Update Date | 2017-05-08 |