| NPI | 1093094609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR6087) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15013) |
| 183500000X Pharmacist (Licence: MA 23973) | |
| 183500000X Pharmacist (Licence: NH 2908) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |