| NPI | 1407154917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207347) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR4470) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |