| NPI | 1629301247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR27756) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 17297) |
| 183500000X Pharmacist (Licence: HI PH-1643) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2020-10-20 |