| NPI | 1518567312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2005020329) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME pr4600) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |