| NPI | 1487972949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1131) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR4281) |
| 183500000X Pharmacist (Licence: WA PH00009759) | |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2010-05-08 |