NPI | 1992257117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 15800) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR4794) |
183500000X Pharmacist (Licence: VA 0202204873) | |
Enumeration Date | 2016-11-04 |
Last Update Date | 2020-08-20 |