| NPI | 1619570140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH27517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR27841) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |