| NPI | 1609120294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR12629) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2018-08-31 |