NPI | 1871888719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19175) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60000820) |
183500000X Pharmacist (Licence: VA 0202208359) | |
Enumeration Date | 2011-06-17 |
Last Update Date | 2011-06-17 |