| NPI | 1487291563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH238748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR69127) |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2019-12-07 |