| NPI | 1114474475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR4906) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R1695) |
| 183500000X Pharmacist (Licence: MI 5302028334) | |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2016-09-04 |