| NPI | 1457506503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR4977) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH04152) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2015-08-17 |