NPI | 1770835704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 07390) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16233-40) |
183500000X Pharmacist (Licence: OH 3122748) | |
Enumeration Date | 2012-10-15 |
Last Update Date | 2012-10-15 |