NPI | 1710233176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P5713) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MT 4728) |
183500000X Pharmacist (Licence: WA PH60525988) | |
Enumeration Date | 2012-08-02 |
Last Update Date | 2021-05-04 |