| NPI | 1275814477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR5804) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R2169) |
| 183500000X Pharmacist (Licence: GA RPH024408) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |