NPI | 1801298880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60479518) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHAPHALIC25211) |
Enumeration Date | 2014-09-21 |
Last Update Date | 2014-09-21 |