NPI | 1770575086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA 013851) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS14838) |
183500000X Pharmacist (Licence: PA RP028269L) | |
Enumeration Date | 2005-08-22 |
Last Update Date | 2007-07-08 |