| NPI | 1366892549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME Pr46176) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: ME 188647) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-09-03 |