| NPI | 1588951511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR5569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26562) |
| 183500000X Pharmacist (Licence: RI 04540) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |