| NPI | 1750820023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR5467) |
| 183500000X Pharmacist (Licence: CO PHA.0017221) | |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |