NPI | 1902158066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 14602) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15200) |
183500000X Pharmacist (Licence: KS 1-14998) | |
Enumeration Date | 2012-10-12 |
Last Update Date | 2014-08-19 |