| NPI | 1508251810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0014087) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME 4232) |
| 183500000X Pharmacist (Licence: MA 19963) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |