NPI | 1871992297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24179) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 159079) |
183500000X Pharmacist (Licence: OK 16212) | |
1835P2201X Pharmacist, Ambulatory Care (Licence: TX 59904) | |
Enumeration Date | 2014-08-21 |
Last Update Date | 2022-07-21 |