NPI | 1861610040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 15431) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IA 15431) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |