NPI | 1962529396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13692) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12279) |
183500000X Pharmacist (Licence: MO 2004035725) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2007-07-08 |