NPI | 1992159412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 70064) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 70064) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2019-06-25 |