| NPI | 1285755462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3411) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44859) |
| 183500000X Pharmacist (Licence: ME PR5400) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |