| NPI | 1760853634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR45461) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R2574) |
| 183500000X Pharmacist (Licence: PA RP448820) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |