| NPI | 1073084323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN56891) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |