| NPI | 1518248624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27201) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR5854) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |