NPI | 1790070092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 39603) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA 19661) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2011-06-14 |