| NPI | 1720390404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR5698) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0003859) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2014-06-11 |