| NPI | 1275851495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR4326) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 21453) |
| 183500000X Pharmacist (Licence: NH R1330) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |