| NPI | 1629091889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 8390) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26105) |
| 183500000X Pharmacist (Licence: ME PR5112) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-06-16 |