NPI | 1811457534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60913098) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041975) |
183500000X Pharmacist (Licence: CA 76377) | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-10-15 |