| NPI | 1669758074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR4569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 11409-40) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2011-10-30 |